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  1. FHIR Specification Feedback
  2. FHIR-41527

Update QICore ConditionEncounterDiagnosis to US Core ConditionEncounterDiagnosis and remove extraneous elements

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • US QI Core (FHIR)
    • 5.0.0
    • Clinical Quality Information
    • Condition Encounter Diagnosis example
      QICore Condition Encounter Diagnosis
    • QI-Core Examples
      QI-Core Profiles
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      Consistent with other changes proposed for QI-Core 6.0, remove extraneous elements as the profiles are updated to US Core 6.1.0.  See following changes:

      QI-Core Profile-based path Action Include in QI-Core 6.0 Justification
      QICoreConditionProblemsHealthConcerns.implicitRules Keep YES  
      Condition.assertedDate Keep YES USCDI US Core 6.0 item Date the condition was first asserted
      URL: http://hl7.org/fhir/StructureDefinition/condition-assertedDate
      Condition.dueTo REMOVE NO No current use case. Determination takes clinical judgment and linkage of causes for condition/problem/healthConcern unlikely to exist
      Condition.occurredFollowing REMOVE NO No current use case. Determination of preceding events (condition, procedure, medicationAdministration, immunization, medicationStatement) unlikely to be retrieved as directly linked to a condition in a medical record
      Condition.modifierExtension KEEP YES Present in US Core
      Condition.clinicalStatus     USCDI – same required binding as US Core to ConditionClinicalStatusCodes
      Condition.verificationStatus KEEP YES USCDI – same required binding as US Core to ConditionVerificationStatus
      Condition.slicesforCategory     USCDI – same extensible binding as US Core to ConditionCategoryCodes
      Condition.category:us-core KEEP YES USCDI – same extensible binding as US Core to ConditionCategoryCodes
      Coding.code FIXED VALUE=encounter-diagnosis
      Condition.severity REMOVE NO Not present in US Core or USCDI and severity unlikely to exist in retrieves
      Condition.code KEEP YES USCDI Same US Core extensible binding to US Core Condition Codes
      Condition.bodySite REMOVE NO Not USCDI or US Core; unless Condition.code indicates the body site, unlikely to retrieve as a distinct metadata element. Also, no clear use case.
      Condition.subject KEEP YES USCDI US Core references US Core Patient – change to QICorePatient
      Condition.encounter KEEP YES USCDI – specific to the encounter the condition is created as a part of
      Condition.[onset[x] http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-condition-problems-health-concerns-definitions.html#key_Condition.onset[x]] KEEP YES USCDI – US Core only specifies datatype onsetDateTime. Retain QI-Core onsetDateTime, onsetAge, onsetPeriod, onsetRange
      Condition.[abatement[x] http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-condition-problems-health-concerns-definitions.html#key_Condition.abatement[x]] KEEP YES USCDI – US Core only specifies abatementDateTime; Retain QI-Core abatementDateTime, abatementAge, abatementPeriod, abatementRange
      Condition.recordedDate KEEP YES USCDI – US Core and QI-Core limit to dateTime
      Condition.asserter REMOVE NO Not in USCDI or US Core and no clear use case
      Condition.stage (including stage.summary, stage.assessment) REMOVE NO Not in USCDI or US Core and no clear use case
      Show
      Consistent with other changes proposed for QI-Core 6.0, remove extraneous elements as the profiles are updated to US Core 6.1.0.  See following changes: QI-Core Profile-based path Action Include in QI-Core 6.0 Justification QICoreConditionProblemsHealthConcerns. implicitRules Keep YES   Condition. assertedDate Keep YES USCDI US Core 6.0 item Date the condition was first asserted URL:   http://hl7.org/fhir/StructureDefinition/condition-assertedDate Condition. dueTo REMOVE NO No current use case. Determination takes clinical judgment and linkage of causes for condition/problem/healthConcern unlikely to exist Condition. occurredFollowing REMOVE NO No current use case. Determination of preceding events (condition, procedure, medicationAdministration, immunization, medicationStatement) unlikely to be retrieved as directly linked to a condition in a medical record Condition. modifierExtension KEEP YES Present in US Core Condition. clinicalStatus     USCDI – same required binding as US Core to ConditionClinicalStatusCodes Condition. verificationStatus KEEP YES USCDI – same required binding as US Core to ConditionVerificationStatus Condition. slicesforCategory     USCDI – same extensible binding as US Core to ConditionCategoryCodes Condition.category: us-core KEEP YES USCDI – same extensible binding as US Core to ConditionCategoryCodes Coding.code FIXED VALUE=encounter-diagnosis Condition. severity REMOVE NO Not present in US Core or USCDI and severity unlikely to exist in retrieves Condition. code KEEP YES USCDI Same US Core extensible binding to US Core Condition Codes Condition. bodySite REMOVE NO Not USCDI or US Core; unless Condition.code indicates the body site, unlikely to retrieve as a distinct metadata element. Also, no clear use case. Condition. subject KEEP YES USCDI US Core references US Core Patient – change to QICorePatient Condition. encounter KEEP YES USCDI – specific to the encounter the condition is created as a part of Condition.[onset [x] http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-condition-problems-health-concerns-definitions.html#key_Condition.onset[x]] KEEP YES USCDI – US Core only specifies datatype onsetDateTime. Retain QI-Core onsetDateTime, onsetAge, onsetPeriod, onsetRange Condition.[abatement [x] http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-condition-problems-health-concerns-definitions.html#key_Condition.abatement[x]] KEEP YES USCDI – US Core only specifies abatementDateTime; Retain QI-Core abatementDateTime, abatementAge, abatementPeriod, abatementRange Condition. recordedDate KEEP YES USCDI – US Core and QI-Core limit to dateTime Condition. asserter REMOVE NO Not in USCDI or US Core and no clear use case Condition. stage (including stage.summary, stage.assessment) REMOVE NO Not in USCDI or US Core and no clear use case
    • Floyd Eisenberg/Jen Seeman: 24-0-0
    • Enhancement
    • Non-compatible

    Description

      Update QICore ConditionEncounterDiagnosis to any changes in US Core ConditionEncounterDiagnosis, and remove unnecessary elements not used in any existing quality artifacts.

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            jen_seeman Jennifer Seeman
            feisenberg Floyd Eisenberg
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              Created:
              Updated:
              Resolved: